HEMATOLOGIC VALUES OF FETAL BLOOD OBTAINED BY MEANS OF CORDOCENTESIS

HEMATOLOGIC VALUES OF FETAL BLOOD OBTAINED BY MEANS OF CORDOCENTESIS
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DOI:
10.1159/000263845
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发表时间:
1993-09-01
影响因子:
2.2
通讯作者:
VIALA, JL
VIALA, JL
中科院分区:
医学3区
文献类型:
--
作者:
BOULOT, P;CATTANEO, A;VIALA, JL

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对541例脐带穿刺的胎儿血液值进行了评价。简单的回归分析被用来寻找血液值和胎龄之间的相关性。我们发现在整个妊娠期血红蛋白浓度和红细胞压积呈线性增加;平均红细胞血红蛋白呈规律性下降,证明平均红细胞体积随妊娠呈线性下降。最后,平均红细胞血红蛋白浓度在妊娠期间是恒定的;血小板计数和有核细胞也呈线性增加。我们建议每个胎儿医学单位应该有自己的参考范围。它将允许准确诊断胎儿感染,胎儿贫血,或任何胎儿疾病的造血改变已被描述。
Fetal blood values were evaluated from 541 cordocenteses. Simple regressions were used to find a correlation between blood values and gestational age. We found a linear increase in hemoglobin concentration and heamtocrit throughout gestation; a linear decrease of the mean corpuscular volume with the gestation was evidenced as a regular decrease in mean corpuscular hemoglobin. Lastly, the mean corpuscular hemoglobin concentration was constant during the gestation; a linear increase of the platelet count and the nucleated cells was also evidenced. We suggest that each fetal medicine unit should have its own reference ranges. It will permit to accurately diagnose fetal infection, fetal anemia, or any fetal disease where alterations of hematopoiesis have been described.